112023 Evolve NCLEX prep
Q& A Pharm Silvestri-
Saunders Comprehensive
Review for the NCLEX-RN
Examination, 5 th Edition
RATIONALE_compressed.pdf|
Graded A+|Reliable A+
Certified Pass
Which teaching method is most effective when providing instruction to members
of special populations?
1. Teach-back
2. video instruction
3. written materials
4. verbal explanation - ANSWERS-1. Teach-back
,Rationale: When providing education to members of special populations, return
explanation and demonstration (teach-back) of are particular importance to
ensure safety and mutual understanding. This method is the most reliable in
confirming the client understands the instructions.
Which health concerns should the nurse be aware of as risk factors when caring
for clients of African American descent? Select all that apply:
1. cancer
2. obesity
3. hypertension
4. heart disease
5. hypothyroidism
6. diabetes mellitus - ANSWERS-1, 2, 3, 4, 6
Rationale: obesity, diabetes mellitus, hypertension, heart disease, asthma, and
cancer are prevalent among African Americans.
The nurse is planning care for a client of Native Hawaiian descent who recently
had a baby. The nurse develops a teaching plan and includes info about which
measure that's related to a newborn complication within this ethnic group?
1. safe sleeping
2. car seat safety
3. breast-feeding
4. baby-proofing - ANSWERS-1. Safe sleeping
,Rationale: The native Hawaiian population has a disproportionately higher rate of
infant mortality compared with other ethnic groups. Sudden Infant Death
Syndrome (SIDS) is a major cause of infant mortality. Safe sleeping is an important
measure to prevent this newborn complication.
The nurse is planning care for an assigned client. The nurse should include info in
the plan of care about the prevention of HIV for which individuals specifically at
risk?
1. lesbian persons
2. men-who-have-sex-with-men (MSM)
3. women-who-have-sex-with-women (WSW)
4. Female-To-Male (FTM) transgender persons - ANSWERS-2. MSM
Rationale: MSM (men who have sex with men) are at a higher risk for HIV and
AIDS.
Which therapeutic communication technique is most helpful when working with
transgender persons?
1. using open-ended questions
2. using their first name to address them
3. using pronouns associated with birth sex
4. anticipating the client's needs and making suggestions - ANSWERS-1. Using
open-ended questions
, Rationale: The use of open-ended questions is the most helpful in communicating
with transgender persons because it assists in refraining from judgment and
allows the client the opportunity to express their thoughts and feelings.
Which special population should be targeted for breast cancer screening by way
of mammography? Select all that apply:
1. male-to-female (MTF)
2. female-to-male (FTM)
3. men-who-have-sex-with-men (MSM)
4. women-who-have-sex-with-men (WSM)
5. women-who-have-sex-with-women (WSW) - ANSWERS-1, 2, 4, 5
Rationale: Transgender persons who have undergone sexual reassignment
surgery should have the respective preventive screenings. WSW and WSM should
also have screenings.
The nurse is volunteering with an outreach program to provide basic healthcare
for homeless people. Which finding, if noted, should be addressed first?
1. BP 154/72
2. visual acuity of 20/200 in both eyes
3. random blood glucose level of 206